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心理韧性在乳腺癌女性精神幸福感与支持性护理需求关系中的中介作用

The Mediating Role of Psychological Resilience in the Relationship Between Spiritual Well-Being and Supportive Care Needs in Women With Breast Cancer.

作者信息

Soyer Er Özlem, Erkan Hamide Nur

机构信息

Department of Surgical Nursing, Afyonkarahisar Health Sciences University Faculty of Health Sciences, Afyonkarahisar, Turkey.

出版信息

Eur J Breast Health. 2023 Oct 1;19(4):297-303. doi: 10.4274/ejbh.galenos.2023.2023-6-5. eCollection 2023 Oct.

Abstract

OBJECTIVE

The aim of this study was to examine the mediating role of psychological resilience as part of the effect of spiritual well-being in the supportive care needs of women with breast cancer.

MATERIALS AND METHODS

Cross-sectional design. The Connor-Davidson Resilience Scale Short Form, the Spiritual Well-Being Scale, and the Supportive Care Needs Survey Short Form were completed women with breast cancer treated at the oncology clinic of a university hospital. For the mediation model, Bootstrap methods with PROCESS Macro were used.

RESULTS

The study was conducted with 126 breast cancer patients. A significant negative, moderate relationship was found between supportive care needs and psychological resilience (r = -0.560). There was a significant negative, but weak relationship between supportive care needs and spiritual well-being (r = -0.385). The indirect effect of spiritual well-being on supportive care needs was significant, thus, psychological resilience was shown to have a mediating effect on the relationship between spiritual well-being and supportive care needs [b = -0.370, 95% confidence interval (- 0.5568, -0.1911)].

CONCLUSION

Psychological resilience appears to contribute to a reduction in supportive care needs of breast cancer patients by affecting spiritual well-being.

摘要

目的

本研究旨在探讨心理韧性作为精神健康对乳腺癌女性支持性护理需求影响的一部分所起的中介作用。

材料与方法

采用横断面设计。对在某大学医院肿瘤门诊接受治疗的乳腺癌女性患者完成了Connor-Davidson韧性量表简表、精神健康量表和支持性护理需求调查问卷简表。对于中介模型,使用了带有PROCESS宏的Bootstrap方法。

结果

对126例乳腺癌患者进行了研究。发现支持性护理需求与心理韧性之间存在显著的负向中度关系(r = -0.560)。支持性护理需求与精神健康之间存在显著的负向但较弱的关系(r = -0.385)。精神健康对支持性护理需求的间接效应显著,因此,心理韧性被证明在精神健康与支持性护理需求之间的关系中起中介作用[b = -0.370,95%置信区间(-0.5568,-0.1911)]。

结论

心理韧性似乎通过影响精神健康有助于降低乳腺癌患者的支持性护理需求。

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本文引用的文献

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